ورقة عمل التمريض الباطني الجراحي: الجهاز الهضمي وما حول الجراحة والأورام مع الإجابات

What is dyspepsia?

1. APain in the rectum on opening the bowels
2. BUpper abdominal discomfort, often called indigestion
3. CDifficulty swallowing solid food and tablets
4. DVomiting of blood after a large meal

What is slough in a wound?

1. AYellow, soft, stringy dead tissue
2. BRed, healthy granulation tissue
3. CA thick, hard black crust
4. DPink, new skin at the wound edge

Why is adrenaline sometimes added to a local anaesthetic?

1. AIt makes the patient fall asleep more quickly
2. BIt turns the local anaesthetic into a general anaesthetic
3. CIt stops the local anaesthetic causing any allergy
4. DIt narrows vessels, so the block lasts longer and bleeding is less

What is the most important safety point about misoprostol?

1. AIt can cause miscarriage and must not be used in pregnancy
2. BIt causes severe constipation in most patients
3. CIt strongly raises blood glucose in people with diabetes
4. DIt must be given only by deep intramuscular injection

أيّ طور من التئام الجروح يتضمن تكوين النسيج الحبيبي وأوعية دموية جديدة؟

1. Aطور الإرقاء (التخثر)
2. Bطور النضج
3. Cالطور الالتهابي
4. Dطور التكاثر

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA test of colour vision
2. BA bone density scan
3. CA test for coeliac disease
4. DScreening for tuberculosis

A patient with a sacral pressure ulcer keeps sliding down the bed when the head is raised high. Which advice best reduces shear?

1. ASit the patient upright without any support for the feet
2. BRaise the head of the bed to 90° and pull the patient up the bed by the arms
3. CKeep the head of the bed at or below 30° if possible; use slide sheets
4. DUse a dry sheet and drag the patient up the bed

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. APeak expiratory flow
2. BAbdominal girth
3. CSerum amylase level
4. DCapillary blood glucose